| NPI | 1225603145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC13642) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP11499) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2023-05-02 |